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Female Educators with AD/HD
This survey was created by Mary Ann Colgrove.
Please answer each question below accurately, as your responses are an important part of this study if you choose to participate fully.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address
Your answer
Phone number
*
Your answer
Preferred method of contact
*
Email
Phone
Text message
Gender
*
Female
Male
Date of Birth
*
MM
/
DD
/
YYYY
How many years have you been a teacher?
*
1-5
6-10
11-15
16-20
21-25
26-30
30 +
Who diagnosed you with ADHD?
*
General Practitioner
Psychiatrist
Other
Date diagnosed with ADHD.
*
MM
/
DD
/
YYYY
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